Department of Pharmaceutical Sciences, School of Pharmacy and University of Colorado Cancer Center, University of Colorado Denver, Aurora, Colorado 80045, USA.
Cancer Res. 2010 Mar 15;70(6):2368-78. doi: 10.1158/0008-5472.CAN-09-3249. Epub 2010 Mar 9.
Chemoprevention is a practical and translational approach to reduce the risk of various cancers including colorectal cancer (CRC), which is a major cause of cancer-related deaths in the United States. Accordingly, here we assessed chemopreventive efficacy and associated mechanisms of long-term silibinin feeding on spontaneous intestinal tumorigenesis in the APC(min/+) mice model. Six-week-old APC(min/+) mice were p.o. fed with vehicle control (0.5% carboxymethyl cellulose and 0.025% Tween 20 in distilled water) or 750 mg silibinin/kg body weight in vehicle for 5 d/wk for 13 weeks and then sacrificed. Silibinin feeding strongly prevented intestinal tumorigenesis in terms of polyp formation in proximal, middle, and distal portions of small intestine by 27% (P < 0.001), 34% (P < 0.001), and 49% (P < 0.001), respectively. In colon, we observed 55% (P < 0.01) reduction in number of polyps by silibinin treatment. In size distribution analysis, silibinin showed significant decrease in large-size polyps (>3 mm) by 66% (P < 0.01) and 88% (P < 0.001) in middle and distal portions of small intestine, respectively. More importantly, silibinin caused a complete suppression in >3 mm sized polyps and 92% reduction in >2 to 3 mm sized polyps in colon. Molecular analyses of polyps suggested that silibinin exerts its chemopreventive efficacy by inhibiting cell proliferation, inflammation, and angiogenesis; inducing apoptosis; decreasing beta-catenin levels and transcriptional activity; and modulating the expression profile of cytokines. These results show for the first time the efficacy and associated mechanisms of long-term p.o. silibinin feeding against spontaneous intestinal tumorigenesis in the APC(min/+) mice model, suggesting its chemopreventive potential against intestinal cancers including CRC.
化学预防是一种实用且可转化的方法,可降低包括结直肠癌(CRC)在内的多种癌症的风险,CRC 是美国癌症相关死亡的主要原因。因此,在这里我们评估了长期给予水飞蓟宾对 APC(min/+)小鼠模型自发性肠道肿瘤发生的化学预防效果及其相关机制。将 6 周龄 APC(min/+)小鼠用口服给予 vehicle 对照(0.5%羧甲基纤维素和 0.025%吐温 20 在蒸馏水中)或 750 mg 水飞蓟宾/公斤体重 vehicle 连续 5 天/周共 13 周,然后处死。水飞蓟宾喂养强烈地预防了肠道肿瘤的发生,在小肠近端、中段和远端,息肉形成分别减少了 27%(P < 0.001)、34%(P < 0.001)和 49%(P < 0.001)。在结肠中,我们观察到水飞蓟宾处理使息肉数量减少 55%(P < 0.01)。在大小分布分析中,水飞蓟宾在小肠中段和远端,大尺寸息肉(>3 毫米)分别减少了 66%(P < 0.01)和 88%(P < 0.001)。更重要的是,水飞蓟宾完全抑制了>3 毫米大小的息肉,>2 至 3 毫米大小的息肉减少了 92%。息肉的分子分析表明,水飞蓟宾通过抑制细胞增殖、炎症和血管生成;诱导细胞凋亡;降低β-连环蛋白水平和转录活性;以及调节细胞因子的表达谱发挥其化学预防作用。这些结果首次表明,长期口服给予水飞蓟宾对 APC(min/+)小鼠模型自发性肠道肿瘤发生的疗效及其相关机制,提示其对包括 CRC 在内的肠道癌症的化学预防潜力。